MD vs DO vs Caribbean. Hard Facts and Statistics

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I have a question regarding the prospects of these statistics come the full merger 2019 or 2020.

Does this mean that there will be a bigger divide between USMD and the USDO/IMG? For now it seems that USDO matching prospects are somewhat in between USMD and IMG when it comes to allo match. With the full merger, will USDO outcomes be closer to IMG outcomes while USMD outcomes become more distinct? Sorry if this sounds ignorant I just don't know much about this!

I'll be applying for residency in 2019 so it would be sweet to know this
I don't understand how this logic comes about? We are about to become full members of ACGME and you think we'll be seen as worse?
 
I don't understand how this logic comes about? We are about to become full members of ACGME and you think we'll be seen as worse?

I think they were asking if MD students being allowed to apply for AOA residency spots would mean that DO students would have a reduced chance of matching overall.
 
Some of these countries also provide work opportunities for their graduates like Australia. So there is little incentive to come back to the US or Canada. A friend of mine who was studying with me for the MCAT went to a program in Australia, thought about going back to the States, but then settled down over there, not my thing, but it happens quite a bit. He still was able to get a residency in the US but decided to stay in Australia, he explained that its actually tough to get a residency in Australia as a US citizen even if you got a degree from an Australian medical school.

That being said the numbers of Americans going to schools in countries like England, Australia, Ireland, are tiny.

Also you were pointing out numbers for IMGs from Germany and Ireland whom I assume are not US citizens or green card holders, that presents a major bureaucratic hurdle in itself, most US schools cannot enroll non US citizens, either MD or DO.

Whatever the pressures, it is clearly not a mainstream way of becoming a resident in the US. I have already admitted that I do not know the match rates for many of these places, but my point is that for those considering doing such a thing, they need to have compelling information, not anecdotal such as what you've shared, that doing this is more beneficial than going DO. You haven't provided that.

I am not debating just to debate. I am trying to provide information to undergraduate students looking to make the best choice in regards to medical school. At this point, you've only used anecdotes and criticized my admittedly limited data. But is there better data out there? If so, there are thousands reading this forum who would probably be served well in seeing it. But if not, your conjecture is more likely to muddle the issue than clarify it.
 
First of all, thank you HockeyDr for this data 🙂

Most of the comparison between MD and DO on this forum as a whole seems to be based on the match results, but I am also interested in students' perspectives of their medical education 'in and of itself.'

(a) Could anyone comment on the quality of basic science instruction at DO vs MD programs? When looking online at curriculums, I noticed that a few of the DO schools have lumped the science classes into one course instead of having a separate immunology, neuroanatomy, and biochemistry classes, for example. Is the level of detail the same? I am asking because I actually enjoy understanding the molecular basis of medicine, and want to keep options open in case I want to pursue research.

(b) Also, is the quality of the clinical rotations the same? As a prospective student, I want to make sure that I am getting the most out of my future medical education.

I have heard many times that DO and MD programs have identical training (except OMM), and I'm 99% convinced, but still 1% skeptical, so that is why I am asking. If this has been answered before then feel free to refer me to another topic.

a) They're the same, except for OMM. MD and DO schools vary school to school, and some will have an integrated pre-clinical curriculum and others won't, but they will all cover the same material.

b) No. You will have more stable quality education based rotations at an MD school on average than at a DO. The lack of an affiliated large tertiary medical center for clinical rotations at DO schools make it difficult for rotations to be standardized. DO schools also tend to be in rural areas that generally have smaller hospitals and training centers.

Its not to say that you will not get good clinical education at DO schools, it'll just be more variable. Also, this is not exclusive to DO schools. Lower tier MD and MD schools that don't own a hospital may have similar variability in rotations.

Also to be clear, you will get a good medical education both MD and DO schools, which is why DOs enter into every field and work alongside MDs in virtually every major medical center in the country.
 
Hi there,

Anyone have an opinion on going to a newer DO school in the states vs SGU? Thanks.
 
Hi there,

Anyone have an opinion on going to a newer DO school in the states vs SGU? Thanks.

US MD > (any) DO > Carib. Please follow the mantra.

SGU's attrition is on the order of 25% vs. an 8% average for DOs (the worst being ~14%). Even then SGU's match and placement rates are still less than any DO school. Tuition and COL for going there is also at or higher than it would be at any DO school that I know of (you can even gain MI residence after a year at MSUCOM). Again, not saying you can't be successful there, just that the odds are stacked much more against you.
 
Hi there,

Anyone have an opinion on going to a newer DO school in the states vs SGU? Thanks.

To give an alternate perspective: I would recommend none of the above. If those are the only choices then maybe it's time to consider....

(1) whether it's worth taking the risk of failing out either because of a deficiency in your own ability or lack of support from a school that is still trying to figure stuff out (new DO) or a school that can only function if it routinely kicks out a large percentage of pre-clinical students because there aren't enough clinical rotation spots (SGU)

(2) whether you're ok with the significant limitation with regards to residency placement and your career in the future. The vast majority of students at these schools will either do community IM/FM/peds (IM in this case would most likely not be leading to sub-specialty) or one of the non-competitive specialties (psych, pm&r).
 
whether you're ok with the significant limitation with regards to residency placement and your career in the future.

To be fair, if these are your only options then you likely aren't the type of student who could get ortho or Derm. And even at a new DO school there are a few students who match into competative specialties, I would say your chances at something competative are still better at a new DO compared to the Carib
 
To be fair, if these are your only options then you likely aren't the type of student who could get ortho or Derm. And even at a new DO school there are a few students who match into competative specialties, I would say your chances at something competative are still better at a new DO compared to the Carib

I would argue that the chances are so vanishingly small coming from either that it is not even worth making the comparison.

Also with regards to "competitive" matches keep in mind that you are also locked out of desirable locations and the majority of top and mid tier programs in less competitive specialties (like IM and peds) coming from either of these places.


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I would argue that the chances are so vanishingly small coming from either that it is not even worth making the comparison.

Also with regards to "competitive" matches keep in mind that you are also locked out of desirable locations and the majority of top and mid tier programs in less competitive specialties (like IM and peds) coming from either of these places.


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Is it really? The match lists in average maybe similar, but the ceiling for DOs is still higher as a whole even from new schools. Below is the match list for Rocky Vista in 2013 (school opened in 2008). Show me one match list from any caribbean school in any year that rivals the some ceiling matches below (ceiling meaning competitive specialty and mid to mid upper tier programs in non-competitive/semi competitive fields). You may find a list that is close, but this one will still beat it.

2013 MATCH RESULTS BY DISCIPLINE, NUMBER MATCHED AND RESIDENCY LOCATION

DISCIPLINE MATCHED RESIDENCY LOCATION
ANESTHESIOLOGY 13
Brooke Army Medical Center, San Antonio, TX
George Washington Univ-DC
U Michigan Hosps-Ann Arbor
U Kansas SOM-Kansas City
Riverside County Regional, Moreno Valley, CA
McLaren-Greater Lansing, Lansing, MI
Med Coli Wisconsin Affil Hosps
Mayo School of Grad Med Educ-MN
B I Deaconess Med Ctr-MA
U Iowa Hosps and Clinics
U Colorado SOM-Denver
University Hosps-Jackson-MS
U Colorado SOM-Denver

EMERGENCY MEDICINE 18
St. Barnabas Hospital, Bronx, NY
Botsford Hospital, Farmington Hills, MI
Southwest Medical Center, Oklahoma City, OK
LECOM/UPMCE Hamot, Erie, PA
St. Barnabas Hospital, Bronx, NY
Oklahoma State University Medical Center, Tulsa, OK
LECOM/UPMCE Hamot, Erie, PA
Botsford Hospital, Farmington Hills, MI
Henry Ford Wyandotte Hospital, Wyandotte, MI
St. John Providence Health System, Warren, MI
UMDNJSOM/South Jersey Healthcare, Vineland, NJ
U Kentucky Med Ctr
Central Michigan University COM
U Kentucky Med Ctr
Baystate Med Ctr-MA
Christus Spohn Mem Hosp-TX
Morristown Mem Hosp-NJ
Indiana Univ Sch Of Med

FAMILY MEDICINE 28
Oregon Health & Science Univ
U Colorado SOM-Denver
North Colorado Med Ctr
U Kansas SOM-Wichita
Valley Hospital Medical Center, Las Vegas, NV
Blessing Health System, Quincy, IL
Detroit Wayne County Health, Detroit, MI
Western Michigan University, Kalamazoo, MI
Sierra Vista Regional Health, Sierra Vista, AZ
Riverside Regional Medical Center, Newport News, VA
Lakeside Medical Center, Belle Glade, FL
Maine-Dartmouth FM Residency, Augusta, ME
Maine-Dartmouth FM Residency, Augusta, ME
Naval Hospital Camp Lejeune, Camp Lejeune, NC
Largo Medical Center, Largo, FL
Darnall Army Medical Center, Ft. Hood, TX
Nellis Air Force Base, Las Vegas, NV
Naval Hospital Camp Lejeune, Camp Lejeune, NC
St Anthony North Hosp-CO
Central Maine Med Ctr
Aurora St Lukes Medical Ctr-WI
Advocate Lutheran Gen Hosp-IL
Alaska Family Med/Providence Hosp
North Colorado Med Ctr
North Colorado Med Ctr
Ft Collins Fam Med-CO
Marshall University SOM-WV

GENERAL SURGERY 14
Naval Medical Center, Portsmouth, VA
Travis Air Force Base/UC Davis Medical Center, Travis AF Base, CA
Wycoff Heights Medical Center, Brooklyn, NY
Doctors Hospital, Columbus, OH
Tripler Army Medical Center, Honolulu, HI
Keesler Air Force Base, Biloxi, MS
Doctors Hospital, Columbus, OH
Naval Medical Center, Portsmouth, VA
Mercy Medical Center, Des Moines, IA
William Beaumont Army Medical Hospital, El Paso, TX
South Pointe Hospital, Warrensville Heights, OH
Good Samaritan Hosp-Cinn-OH
University of MaryLand
Oregon Health & Science Univ


ORTHOPEDIC SURGERY 5
Texas Tech U Affii-Lubbock
Summa Western Reserve Hospital, Cuyahoga Falls, OH
Plainview Hospital, Plainview, NY
Plainview Hospital, Plainview, NY
St. Mary's Hospital Blue Springs, Blue Springs, MO

INTERNAL MEDICINE 18
Sky Ridge Medical Center, Parker, CO
Parkview Medical Center, Pueblo, CO
Naval Medical Center, Portsmouth, VA
Parkview Medical Center, Pueblo, CO
Grandview Hospital & Medical Center, Dayton, OH
Sky Ridge Medical Center, Parker, CO
Parkview Medical Center, Pueblo, CO
Sky Ridge Medical Center, Parker, CO
Parkview Medical Center, Pueblo, CO
Parkview Medical Center, Pueblo, CO
Danville Regional Medical Center, Danville, VA
Swedish Covenant Hospital, Chicago, IL
Sky Ridge Medical Center, Parker, CO
Northside Hospital & Heart Institute, St. Petersberg, FL
Genesys Regional Medical-Health Park, Grand Blanc, MI
Parkview Medical Center, Pueblo, CO
San Antonio Uniformed Services Health Education Consortium
Texas A&M-Scott & White

INTERNAL MEDICINE/EMERGENCY MEDICINE 1
Aria Health Systems, Philadelphia, PA

OBSTETRICS/GYNECOLOGY 10
Walter Reed National Military Medical Center, Bethesda, MD
McLaren-Greater Lansing, Lansing, MI
Henry Ford Macomb Hospitals, Clinton Township, MI
St. John Providence Health System, Warren, MI
Mercy Health Partners, Muskegon, MI
St. Joseph Mercy-Oakland, Pontiac, MI
Good Samaritan Hospital, West Islip, NY
South Jersey Healthcare, Vineland, NJ
Baylor Coli Med-Houston-TX
University of Toledo-OH

OPTHALMOLOGY 1
Henry Ford Hospital - Wayne State University, Detroit, MI


PEDIATRICS 8
(Civilian Deferred)/ OMECO Teaching Health Center, Tulsa, OK
Madigan Army Medical Hospital, Fort Lewis, WA
Doctors Hospital, Columbus OH
U Nebraska Affil Hosps
Madigan Army Medical Hospital, Fort Lewis, WA
Orlando Health-FL
University of Hawaii
U Texas Southwestern Med Sch-Dallas

PATHOLOGY 2
San Antonio Uniformed Services Health Education Consortium
U New Mexico SOM


PHYSICAL MEDICINE & REHABILITATION 2
Med Coli Wisconsin AffilHosps
Barnes-Jewish Hosp-MO

PSYCHIATRY 5
Erie, PA
U Texas HSC-San Antonio
U Arizona COM at South Campus
University of Hawaii
U Utah Affil Hospitals

RADIOLOGY-DIAGNOSTIC 3
U South Florida COM-Tampa
Hershey Med Ctr/Penn State-PA
U Kansas SOM-Wichita

RADIOLOGY 1
McLaren-Oakland, Pontiac, MI

RADIOLOGY-ONCOLOGY 1
Baylor Coli Med-Houston-TX


TRADITIONAL ROTATING INTERNSHIP 6
Lankenau Medical Center, Wynnewood, PA
Samaritian Regional Medical Center, Corvallis, OR
Palisades Medical Center, N. Bergen, NJ
St. Anthony Hospital, Oklahoma City, OK
LECOM/Arnot Elmira, NY
Madigan Army Medical Hospital, Fort Lewis, WA
Genesys Regional Medical-Health Park, Grand Blanc, MI
 
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Is it really? The match lists in average maybe similar, but the ceiling for DOs is still higher as a whole even from new schools. Below is the match list for Rocky Vista in 2013 (school opened in 2008). Show me one match list from any caribbean school in any year that rivals the some ceiling matches below (ceiling meaning competitive specialty and mid to mid upper tier programs in non-competitive/semi competitive fields). You may find a list that is close, but this one will still beat it.


The AOA programs skew the results. If this question was being asked before the merger you may have an argument but with all programs becoming ACGME I suspect that the the outcomes from both DO and SGU are going to drift closer together. Also the argument for DO inevitably turns to the outliers and you guys ignore the 90% of matches that look exactly like those from SGU.


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The AOA programs skew the results. If this question was being asked before the merger you may have an argument but with all programs becoming ACGME I suspect that the the outcomes from both DO and SGU are going to drift closer together. Also the argument for DO inevitably turns to the outliers and you guys ignore the 90% of matches that look exactly like those from SGU.


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Actually most of us on this thread acknowledge that 90% in the match list. As stated by AnatomyGrey12, these are people who would have never really reached to top to begin with because they potential wasn't that high to being with. We are not denying the DO and caribbean bias that is happening. This adds another barrier of pressure on top of many others.

However, we differ in the opinion that the ceiling is higher for DOs in general and opportunities to match are greater (even in new schools). This is including the ACGME match in my assessment as well. In the NRMP report of 2014, the vast majority of fields are willing to interview/rank DOs in general over caribbean graduates. I don't think they differentiate between DO schools when they pick their candidates.

There were a few amazing matches in the osteo sub forums a few months ago. I remember you stating that it wasn't the school that got them there, but their own individual efforts. I totally agree with you there and I think this reasoning also applies to those attending new schools. I will still say that going to a DO school, whether old or new, will still give you greater opportunities than the caribbean.

As to the issue of the merger, I cannot give a conclusive answer to your statement. What I believe will happen is that there will be a divide between certain competitive osteopathic students. The extremely competitive ones will apply as is and will match better than they have in the past, because they aren't pulled from the ACGME match. The semi-competitive ones might not try and this will push them into less competitive fields. There is also the fact that people put location as their top priority in matching. So they may have pulled from the "better" ACGME match because they matched into an AOA spot. In the end, it is difficult to speculate the possibilities. I still stand strong in the opinion that one will still do better in the long run from a new DO schools over a caribbean one (residency placement will still be better, even if in the worst case scenario that it drops a small degree post merger).
 
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